著者

足達 裕 松崎 昭夫 城戸 正喜 入江 豊 松永 和剛 広田 修

出版者

West-Japanese Society of Orthopedics & Traumatology

雑誌

整形外科と災害外科 (ISSN:00371033)

巻号頁・発行日

vol.43, no.1, pp.344-349, 1994-03-25 (Released:2010-02-25)

参考文献数

11

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We report three cases of femoral nerve paresis. Case 1 was a 25-year-old male, who was admitted to hospital complainning of left thigh pain. On examination he had tenderness in his left inguinal area. Neurological examination revealed a weakess of the quadriceps on the left, and diminished sensation on the anteromedial aspect of his left lower extremity. The mechanism of injury was not clear in this case. Case 2, a 56-year-old male had progressive muscle weakness and numbness in the right lower extremity. He had received cobalt radiation therapy 16 years previously. Clinical examination revealed a firm hypertrophic scar with tenderness in the right inguinal area, and neurological examination showed quadriceps weakness and sensory disturbance of the anteromedial surface of the right thigh nd leg. Case 3, an 18-year-old male complained of gait disturbance and sever pain around theleft inguinal area and numbness over the left thigh. “The patient was a hemophiliac who had been unde the care of a pediatrician”.Neurolysis was performed in two cases, and the other patient was treated with bed rest and replacement therapy. In all cases, symptoms improved after treatment.

著者

小嶺 俊 松崎 昭夫 城戸 正喜 中村 宏 花田 弘文

出版者

West-Japanese Society of Orthopedics & Traumatology

雑誌

整形外科と災害外科 (ISSN:00371033)

巻号頁・発行日

vol.46, no.3, pp.830-833, 1997-09-25 (Released:2010-02-25)

参考文献数

10

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Two patients with compression neuropathy of the superficial radial nerve are presented.Case 1: A 71 year-old female visited our clinic in November, 1995 with a one month history of pain in the dorsum of both hands.Clinical examination revealed paresthsia on the radial half of the dorsum of her hand and tenderness on dorsal area of the distal forearm, where the superficial radial nerve pierced the deep fascia of the forearm. The patient was operated on after failure of conservative treatment for Cheiralgia Paresthetica.At exploration a membranous tissue traversing over the nerve was seen and incised, and a shallow indentation was seen on the nerve under the membrane.After the operation her pain disappeared and has not recurred.Case 2: A 38 year-old male presented in 1991 with dysesthesia on the dorsum of his right hand and a tumor on the dorsum of his right forearm.He also reported pain on the dorsal side of his right hand. Three years later he recognized a small tumor on the dorsal side of his right distal forearm and dysesthesia on the dorsum of his right hand. Examination revealed sensory loss limited to the area supplied by the superficial radial radial nerve and a tumor on the dorsal side of his right forearm.Partial resection of the tumor and neurolysis was carried out, under the diagnosis of a compression neuropathy of the superficial radial nerve due to a forearm tumor.The pathological diagnosis was a nalignant fibrous histiocytoma.The patient's pain disappeared after the operation but recurred one month later. The patient died four months later due to lung metastasis.